Unplanned Extubation in the Pediatric Intensive Care Unit

Abstract

Unplanned extubations (UEs) are common, potentially avoidable complications of endotracheal intubation among pediatric patients. UE can be associated with adverse patient outcomes including increased length of stay, hospitalization cost, and cardiorespiratory decompensation. Inconsistency in the definition of UE has led to underreporting. Staff must be able to recognize and intervene appropriately when an UE occurs. Risk factors have been identified and quality improvement initiatives aimed at reducing UE have shown to be effective in reducing the incidence. The lack of consistent definition may lead to underreporting and may not lead to effective quality improvement initiatives.

Keywords: Critically ill children; Endotracheal intubation; Mechanical ventilation; Pediatric intensive care unit; Quality improvement; Reintubation; Unplanned extubation.